Sociodemographic correlates of antenatal care visits in Nepal: results from Nepal Demographic and Health Survey 2016
Sociodemographic correlates of antenatal care visits in Nepal: results from Nepal Demographic and Health Survey 2016
复制标题
DOI：
10.1186/s12884-020-03218-x
复制
发表时间：
2020-09-05
影响因子：
3.1
通讯作者：
Upadhyaya, Dipak Prasad
中科院分区：
文献类型：
--
作者：
Adhikari, Mukesh;Chalise, Binaya;Upadhyaya, Dipak Prasad
高质量的产前检查对降低孕产妇死亡率和改善孕产妇和新生儿的整体健康状况至关重要。先前的一项关于产前保健访问的研究分析了2011年的全国代表性数据;然而，尼泊尔最近没有进行任何研究。因此，我们从2016年的全国代表性数据中分析了尼泊尔妇女产前护理频率和质量的社会人口学相关性。方法我们分析了尼泊尔人口健康调查（2016年）获得的数据，这些数据涉及过去三年中有一次或多次分娩的2761名妇女的产前保健。我们的研究将“优质产前护理”定义为至少75%的综合指标得分，该指标是通过将分配给产前护理的12个建议组成部分的加权得分相加而获得的。采用多元Poisson回归和Logistic回归分析影响产前检查频率和质量的因素。虽然70%的尼泊尔妇女接受了至少四次产前检查，但只有21%的妇女接受了高质量的产前检查。我们发现，受过教育的妇女（APR：1.12; CI：1.05-1.19）和富有财富指数的妇女（APR：1.27; CI：1.18-1.37）更有可能接受更多的产前检查。相比之下，生活在农村地区的妇女（APR：0.92; CI：0.87-0.98）和有两个以上子女的妇女（APR：0.88; CI：0.83-0.93）接受产前检查的可能性较小。关于产前护理的质量，受过教育的妇女（AOR：1.51; CI：1.09-2.08），丈夫受过教育的妇女（AOR：2.11; CI：1.38-3.22），富有女性财富指数（AOR：1.58; CI：1.13-2.20）和有计划怀孕的妇女（APR：1.69; CI：1.23-2.34）更有可能接受高质量的产前保健。结论：观察到产前保健不同组成部分的覆盖范围存在很大差异，相关利益攸关方可以通过关注使用率较低的组成部分来调整干预措施。因为我们发现了无数的社会人口因素与产前保健的频率和质量的关联，有针对性的干预措施是必要的。
Background Good quality antenatal care visits are crucial to reduce maternal mortality and improve overall maternal and neonatal health outcomes. A previous study on antenatal care visits analyzed the nationally representative data of 2011; however, no studies have been conducted recently in Nepal. Therefore, we analyzed the sociodemographic correlates of the frequency and quality of antenatal care among Nepalese women from the nationally representative data of 2016. Methods We analyzed data obtained from the Nepal Demography Health Survey (2016) on antenatal care for 2761 women who had one or more births in the past three years. Our study defined 'good quality antenatal care' as at least a 75% score on a composite metric which was obtained by adding the weighted scores assigned to the twelve recommended components of antenatal care. We analyzed the factors associated with the frequency and quality of antenatal care by using multiple Poisson regression and multiple logistic regression. Results While 70% of the Nepalese women surveyed had at least four antenatal care visits, only 21% of these women received good-quality antenatal care. We found that the educated women (APR: 1.12; CI: 1.05-1.19) and the women of rich wealth index (APR: 1.27; CI: 1.18-1.37) were more likely to receive a higher number of antenatal visits. In contrast, women living in rural areas (APR: 0.92; CI: 0.87-0.98), and those who had more than two children (APR: 0.88; CI: 0.83-0.93) were less likely to receive a higher number of antenatal visits. Regarding the quality of antenatal care, educated women (AOR: 1.51; CI: 1.09-2.08), women who had educated husbands (AOR: 2.11; CI: 1.38-3.22), women of rich wealth index (AOR: 1.58; CI: 1.13-2.20) and women who had intended pregnancy (APR: 1.69; CI: 1.23-2.34), were more likely to receive good-quality antenatal care. Conclusions Observing a wide variation in the coverage of different components of antenatal care, concerned stakeholders could tailor the interventions by focusing on components with lower use. Because we found an association of myriad sociodemographic factors with the frequency and quality of antenatal care, targeted interventions are necessary.